Aesthetic Procedures for Eye Wrinkles: Skin Needling and Botox

Abstract

A good management of aesthetic procedures available for the eye wrinkles area is fundamental for dermatologists. In addition to traditional aesthetic procedures such as superficial filler, peeling, and biorivitalization, in this chapter we will focus on two successful procedures: Botox and skin needling. A good knowledge of these procedures and their anatomic implication is necessary to provide the best treatment options for patients, manage complications appropriately, achieve optimal results, and avoid unwanted side effects. Glabellar frown lines as well as lateral canthal wrinkles in women can be satisfactorily treated with Botox. Botulinum toxin A is a natural substance, made by Clostridium botulinum bacteria, which cause a temporary paralysis of muscles. Skin needling is also called micro-needling therapy or collagen induction therapy. It is a minimally invasive nonsurgical and nonablative procedure for facial rejuvenation that involves the use of a micro-needling device to create controlled skin injury. For wrinkles of the periocular region, skin needling can be considered for the treatment of crow’s feet wrinkles and glabella wrinkles with good results. Professional skin needling is considered to be one of the safest skin treatment procedures. Unlike chemical peels, dermabrasion, and laser treatments, skin needling causes minimal damage to the skin.